Work 1:1 Application
* Required
Email address
*
Your email
First Name
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Your answer
Last Name
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Your answer
How old are you?
*
18 - 24
25 - 34
35 - 44
45+
What is your gender?
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Your answer
What is your ethnicity?
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Your answer
What is your education level?
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High School
Some College
College Graduate
Other:
Where are you located?
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Your answer
What is your current occupation?
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Your answer
What industry are you trying to get into?
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Your answer
What do you want immediate help with?
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Blogging
Branding
Growing my social media
Connecting with brands and landing collaborations
All of the above
Other:
Website (If you don't have one, put down your social media channels)
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Your answer
What is your niche topic (i.e, fashion, finance, travel, food, etc)
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Your answer
Tell me about your brand/blog. Where are you now in your life and business, and what you plan to accomplish after conquering your struggles?
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Your answer
What has stopped you from taking action on reaching your goals?
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Your answer
What are your 2 biggest pain points while growing your brand/blog? What are you struggling with that you need help with specifically?
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Your answer
What solutions have you already tried to overcome your pain point?
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Your answer
If there was a dream solution to solve your pain point what would it be?
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Your answer
If your dream solution exists how much would you be willing to pay for it?
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Your answer
How soon would you be willing to start working 1:1 with me?
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Today
4 Weeks
1 Month
3 Months
Other:
Why now? Why is figuring this out and getting it done so important to you right now? What happens if you don't take action?
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Your answer
Where do you spend most of your time online?
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Instgram
Facebook
Twitter
YouTube
Other:
What brands or people do you follow as it relates to your industry?
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Your answer
What problem does working with me 1:1 solve for you?
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Your answer
How did you hear about me?
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Instagram
Facebook Ad
Website
Email List
Referral
Other:
What is your phone number?
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Your answer
What attracted you to me? Why have you chosen me to be your coach for getting this done?
*
Your answer
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